Registered Nurse Tier 1 (Union
Company : Appalachian Regional Healthcare
Location : Hazard, KY, 41701
Job Type : Full Time / Part Time
Date Posted : 30 December 2025
Overview
The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students.
Special Instructions
8-10 days a month of CallResponsibilities
- Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills
- The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses.
- Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension
- The administration of medication, intravenous therapy and treatment as prescribed by a LIP
- Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care.
- Mentors and precepts students and orient new staff as assigned
- Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information
- Participates on various teams, committees or performance improvement initiatives
- Ensures a safe and secure environment for patients, coworkers and self
- Participates in Discharge Planning and Transition of Care (able to define pt needs)
- Serves as a patient advocate and escalates patient related concerns timely
- Timely documents pertinent findings in medical record
- Assist patients in performing activities of daily living and functions as an active team member
- Assumes responsibility for personnel professional development
- Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude
- Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted)
- Functions as a positive influence, role model and adheres to professional code of conduct
- Respects dignity and confidentiality of all matters relating to patients
- Refer to Special Addendum and Staff Nurse Position Description
- Performs other job duties as assigned.
Qualifications
- Bachelor's Degree Preferred
- Associate's Degree Required
- Registered Nurse. Required
- BLS upon hire Required
- De-Escalation Training within 6 months of hire Required
- Driver's License required
- Responsible for preparation of and interpretation of client plans of care and systematic assessments/reassessments.
- Responsible for performing nursing treatments, procedures and total client care in accordance with established agency andnursing care standards.
- Responsible for communicating pertinent client assessments/reassessments finding to physician.
- Responsible for initiating referrals to other health care organizations and community services based on identified client needs andphysician orders.
- Able to travel to client residences in inclement weather and provide nursing care in varying environmental situations.
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Frequently asked questions
In Hazard, KY, certifications like BLS and de-escalation training are essential for a Registered Nurse Tier 1. Additional credentials such as ACLS or specialty nursing certifications can boost employability, reflecting local healthcare standards and Appalachian Regional Healthcare’s emphasis on comprehensive patient care.
A Registered Nurse Tier 1 often balances direct patient care with supervisory and mentorship duties. Unlike some nursing roles, this position includes critical thinking for patient assessments, coordinating multidisciplinary teams, and guiding students, creating a dynamic nursing environment tailored to entry-level yet responsible practice.
Rural settings such as Hazard, KY, often require Registered Nurse Tier 1 staff to adapt to limited resources and varied patient needs, including travel to clients’ residences in diverse conditions. Nurses must be versatile, managing both clinical care and community health outreach within Appalachian Regional Healthcare’s framework.
Starting as a Registered Nurse Tier 1 at Appalachian Regional Healthcare opens pathways for clinical specialization, leadership roles, and advanced certifications. The organization supports professional development through mentorship and participation in performance improvement teams, fostering career progression in a supportive rural healthcare network.
Appalachian Regional Healthcare emphasizes mentorship and team collaboration for Registered Nurse Tier 1 staff, offering hands-on learning with students and new hires. Their focus on psychological and social sciences integration means nurses receive comprehensive support aligning with rural community health needs.
While the Registered Nurse Tier 1 role includes 8-10 days per month on call, Appalachian Regional Healthcare strives to balance staffing needs with nurse well-being. Flexibility may be available depending on unit demands, promoting work-life balance within their commitment to patient-centered care.
Registered Nurse Tier 1 positions in Hazard, KY, typically offer salaries between $55,000 and $68,000 annually, reflecting regional market rates and the role’s entry-level designation. Compensation packages often include benefits aligned with Appalachian Regional Healthcare’s standards for rural healthcare professionals.
Hazard, KY, has a steady demand for entry-level Registered Nurses, driven by local healthcare needs and rural community growth. While competition exists, candidates with certifications like BLS and de-escalation training, plus adaptability to local conditions, tend to have an advantage securing roles at facilities like Appalachian Regional Healthcare.
Daily tasks include comprehensive patient assessments, administering medication, coordinating with physicians, and mentoring junior staff. Nurses must manage care plans and ensure safe environments in line with Appalachian Regional Healthcare’s standards, adapting to the unique demands of Hazard’s rural patient population.
Collaboration is vital; Registered Nurse Tier 1s work closely with physicians, therapists, and support staff to deliver holistic patient care. Appalachian Regional Healthcare values this teamwork, fostering communication skills and shared decision-making essential for effective nursing practice in a rural setting.